PrEP in Black Communities
Existing research has found that awareness of PrEP among Black Americans is low, particularly among college-aged students attending Historically Black Colleges and Universities (HBCUs) and other minority-serving institutions (Holliday et al., 2024).
Mini Report
TABLE OF CONTENTS:Underlying Data
Barriers to Awareness and Access
Medical Mistrust Barriers
Structural and Geographic Barriers
Social and Cultural Barriers
Stigma-Related Barriers
Financial Barriers
Information/Education Barriers
Recommendations
Culturally Competent and Relevant Marketing
Reframe Education, Awareness, and Outreach Campaigns Using a Risk-to-Reasons Framework
Increased Investments in HIV Education and Prevention Infrastructure
Trifold
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Despite the availability of these new prevention methods, Black Americans account for 14.5% of all PrEP users, with a PrEP-to-Need ratio of 5.8, meaning that nearly 6 Black Americans are using PrEP for every 1 new HIV diagnosis. By comparison, White Americans account for 62.9% of all PrEP users, with a PrEP-to-Need ratio of 41.7, meaning that nearly 42 White Americans are using PrEP for every 1 new HIV diagnosis (AIDSVu, 2026).
Special Thanks
Kenya Hutton
Center for Black Equity
Dr. Brittany Williams
University of Vermont
Guy Anthony
Michelle Anderson
Narrative Power Institute
Black, Gifted & Whole
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